Tailored Interactive Multimedia to Reduce Colorectal CA Screening Disparities

定制交互式多媒体以减少结直肠 CA 筛查差异

基本信息

项目摘要

DESCRIPTION (provided by applicant): Interactive multimedia computer programs (IMCPs) show promise as a way of delivering personally tailored (PT) information to enhance cognitive mediators of health behavior and improve patient outcomes. However, it is unclear whether PT IMCPs can be deployed in primary care offices to increase cancer screening uptake and eliminate ethnic disparities in uptake by providing PT information in each user's preferred language. Aims/Hypotheses: We will compare changes in CRC screening cognitive mediators (self- efficacy, perceived barriers, and readiness) and uptake resulting from an IMCP PT to enhance the key cognitive mediators and targeted to patients' self-identified ethnicity - with changes resulting from a non- tailored "electronic leaflet" control IMCP. The experimental and control IMCPs will each be offered in English and Spanish versions. We hypothesize that, compared with the appropriate control condition (English, Spanish, or both combined): (1) the English version of the PT IMCP will enhance the cognitive mediators of CRC screening behavior for English-speaking Hispanics and non-Hispanics; (2) there will be similarly favorable changes in these mediators for Hispanics using the Spanish version of the PT IMCP; (3) deployment of the PT IMCP will provide evidence of elimination of disparities in CRC screening between Hispanic and non-Hispanic subjects via its relative impact on the cognitive mediators in these groups; and (4) the PT IMCP (English and Spanish combined) will increase CRC screening uptake in Hispanics and non-Hispanics (considered separately) via changes in the cognitive mediators. Methods: Randomized controlled trial of 2 groups, comparing a PT (to the cognitive mediators) CRC screening IMCP offered in both English and Spanish versions and deployed before a primary care office visit with a non-tailored "electronic leaflet" CRC screening IMCP (control) also offered in both English and Spanish. Screening methods targeted will be fecal occult blood testing, flexible sigmoidoscopy, and colonoscopy. Primary outcomes will be CRC screening uptake, self- efficacy, perceived barriers, and readiness. Implications: Our findings will determine whether an IMCP that is PT to cognitive mediators of screening behavior and deployed in primary care offices prior to previously scheduled visits can activate patients of various ethnicities to undergo CRC screening. They may also suggest a promising, portable method of reducing disparities in CRC (and other) screening uptake between Hispanic and non-Hispanic individuals. PUBLIC HEALTH RELEVANCE: Our findings will determine whether an interactive multimedia computer program that is personally-tailored to cognitive mediators of screening behavior and deployed in primary care offices prior to previously scheduled visits can activate patients of various ethnicities to undergo colorectal cancer screening. They may also suggest a promising, portable method of reducing disparities in colorectal cancer (and other) screening uptake between Hispanic and non-Hispanic individuals.
描述(由申请人提供):交互式多媒体计算机程序(IMCP)显示出作为一种提供个人定制(PT)信息的方式的前景,以增强健康行为的认知介导因子并改善患者结局。然而,目前尚不清楚PT IMCP是否可以部署在初级保健办公室,以通过以每个用户的首选语言提供PT信息来增加癌症筛查的接受率并消除接受中的种族差异。目的/假设:我们将比较CRC筛查认知介质(自我效能、感知障碍和准备)的变化以及IMCP PT导致的吸收,以增强关键认知介质并针对患者自我确定的种族-与非定制“电子传单”对照IMCP导致的变化。实验和对照IMCP将分别提供英文和西班牙文版本。我们假设,与适当的控制条件相比,(英语、西班牙语或两者结合):(1)英语版PT IMCP将增强讲英语的西班牙裔和非西班牙裔的CRC筛查行为的认知介导因子;(2)使用西班牙语版PT IMCP的西班牙裔在这些介导因子方面也会出现类似的有利变化;(3)PT IMCP的部署将通过其对西班牙裔和非西班牙裔受试者中认知介质的相对影响提供消除这些群体中CRC筛查差异的证据;(4)PT IMCP(英语和西班牙语相结合)将通过改变认知介质增加西班牙裔和非西班牙裔(单独考虑)的CRC筛查吸收。研究方法:2组随机对照试验,比较了PT(认知介质)CRC筛查IMCP(英语和西班牙语版本)和非定制的“电子传单”CRC筛查IMCP(对照)(英语和西班牙语版本)。筛查方法的目标将是粪便潜血试验,软乙状结肠镜检查,结肠镜检查。主要结果将是CRC筛查的吸收,自我效能,感知障碍和准备。含义:我们的研究结果将确定IMCP是否是筛选行为的认知介质的PT,并在先前计划的访视之前部署在初级保健办公室,可以激活不同种族的患者进行CRC筛查。他们还可能提出一种有前途的,便携式的方法,减少西班牙裔和非西班牙裔个体之间CRC(和其他)筛查摄取的差异。公共卫生关系:我们的研究结果将确定一个交互式多媒体计算机程序,是个人定制的筛查行为的认知介质,并部署在初级保健办公室之前,先前预定的访问可以激活不同种族的患者进行结直肠癌筛查。他们还可能提出一种有前途的,便携式的方法,减少西班牙裔和非西班牙裔个体之间结直肠癌(和其他)筛查摄取的差异。

项目成果

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ANTHONY FRANCIS JERANT其他文献

ANTHONY FRANCIS JERANT的其他文献

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{{ truncateString('ANTHONY FRANCIS JERANT', 18)}}的其他基金

Provider Training to Support Patient Self-Efficacy for Depression Care
支持患者抑郁症护理自我效能的提供者培训
  • 批准号:
    8374051
  • 财政年份:
    2012
  • 资助金额:
    $ 63.87万
  • 项目类别:
Provider Training to Support Patient Self-Efficacy for Depression Care
支持患者抑郁症护理自我效能的提供者培训
  • 批准号:
    8504544
  • 财政年份:
    2012
  • 资助金额:
    $ 63.87万
  • 项目类别:
Tailored Interactive Multimedia to Reduce Colorectal CA Screening Disparities
定制交互式多媒体以减少结直肠 CA 筛查差异
  • 批准号:
    7911260
  • 财政年份:
    2009
  • 资助金额:
    $ 63.87万
  • 项目类别:
Tailored Interactive Multimedia to Reduce Colorectal CA Screening Disparities
定制交互式多媒体以减少结直肠 CA 筛查差异
  • 批准号:
    7516671
  • 财政年份:
    2008
  • 资助金额:
    $ 63.87万
  • 项目类别:
Tailored Interactive Multimedia to Reduce Colorectal CA Screening Disparities
定制交互式多媒体以减少结直肠 CA 筛查差异
  • 批准号:
    8319529
  • 财政年份:
    2008
  • 资助金额:
    $ 63.87万
  • 项目类别:
Tailored Interactive Multimedia to Reduce Colorectal CA Screening Disparities
定制交互式多媒体以减少结直肠 CA 筛查差异
  • 批准号:
    8549692
  • 财政年份:
    2008
  • 资助金额:
    $ 63.87万
  • 项目类别:
Tailored Interactive Multimedia to Reduce Colorectal CA Screening Disparities
定制交互式多媒体以减少结直肠 CA 筛查差异
  • 批准号:
    8138479
  • 财政年份:
    2008
  • 资助金额:
    $ 63.87万
  • 项目类别:
Tailored Interactive Multimedia to Reduce Colorectal CA Screening Disparities
定制交互式多媒体以减少结直肠 CA 筛查差异
  • 批准号:
    7686264
  • 财政年份:
    2008
  • 资助金额:
    $ 63.87万
  • 项目类别:
A Randomized Trial of Home Self-Efficacy Enhancement
家庭自我效能感增强的随机试验
  • 批准号:
    7046716
  • 财政年份:
    2003
  • 资助金额:
    $ 63.87万
  • 项目类别:
A Randomized Trial of Home Self-Efficacy Enhancement
家庭自我效能感增强的随机试验
  • 批准号:
    6596793
  • 财政年份:
    2003
  • 资助金额:
    $ 63.87万
  • 项目类别:

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